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GARY LEE HIGA FRIENDSHIP AWARD 2009 AND DBT JUDO DOJO SENSEI MEMORIAL SCHOLARSHIP
Return to Individual Memorial Awards Information Sheet
The Gary Lee Higa Friendship Award was founded in
the fall of 1981 after he was tragically killed in an automobile accident by a
drunken driver. A group of close friends and family created this award as an
ongoing memorial to
The following must be submitted to apply for this award: 1) Expressive work 2) A copy of your high school transcript and 3) this completed application form.
The expressive work can be a short essay, poetry, visual art, music, etc.,
using "Friendship" as the theme. The expressive work is the major
criteria because
All expressive works must be labeled, as an original or else must properly name the original source. With your expressive work, please submit a brief explanation of how your work conveys the idea of friendship. All espressive work will become the property of the scholarship committee.
The transcript, application and expressive work must be postmarked on or before Friday, April 24 2009 and sent to:
If you have any questions, contact
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Reason for eligibility:
_______1) American citizen of Japanese ancestry, Japanese surname: (first)______________________(last)_________________________________________(relationship) _____________________(i.e. Joe Tanaka-grandfather)
_______2) Permanent resident (INS documentation) of Japanese ancestry.**
_______3) Parent(s) an active member of a participating organization
List of school activities, awards, honors,
etc., names of clubs or organizations, positions held,
conferences, science fairs, etc.
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List of non-school activities, hobbies, special skills or other pertinent information: church, community organizations, part-time or full-time work or other things you'd like to tell us about yourself.
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Agreement
The applicant, family members and any third party members agree, in participating in the Japanese American Community Graduation Program, that all decisions of the Committee and judges are final with regard to determinations of eligibility, qualifications, awarding of scholarships or any other matters, which affect the applicant. There is no right of appeal with respect to any decisions made by the Committee or judges. All applications and supporting documentation shall remain the sole property of the Japanese American Graduation Committee and shall not be subject to release to any persons.
_______________________________________________________________________Date_______________________________
Applicant's Signature
_______________________________________________________________________Date_______________________________
Parent or Guardian Signature (for minor under 18 years old)
** If eligibility is through an INS
documentation, proof of permanent resident alien status is required with
application. A photo copy is acceptable.
Higa rev 03/20/09
FORM C
DBT JUDO DOJO SENSEI MEMORIAL SCHOLARSHIP
In conjunction with over
fifty years of Judo in the Rocky Mountain region and the deepest respect, the
Denver Buddhist Temple Judo Dojo hereby reinstates the principles of the
previous Judo scholarship, the Denver School of Judo – Fred Noboru Okimoto Memorial Scholarship, by establishing the DBT Judo
Dojo Sensei Memorial Scholarship in memory of the Senseis
who have taught and promoted the sport of Judo in the community and the Rocky
Mountain region: Mr. William Chikuma, Dr. Takeshi Ito, Dr. Yoshi
Ito, Mr. George Kuramoto, Mr. Fred Noboru Okimoto, Mr. Albert Tagawa, and
Mr. Tooru Takamatsu.
These Senseis
have founded and nurtured the Denver Judo Dojo, Denver School of Judo, and DBT
Judo Dojo to where they were/are nationally and internationally known for its
facilities, Senseis, Judo Champions, and most
importantly for its contributions to furthering the progress of the sport.
It is with great honor and
heartfelt appreciation that this scholarship is given to the youth of our
community to perpetuate the idealism that is the “Sport of Judo” in
memory of the Senseis who earnestly promoted Judo in
the Japanese American community.
Therefore, a primary
qualification for this scholarship is the number of years that the applicant
has been enrolled in a recognized Judo Dojo in the
The following must be
submitted to apply for this award:
1.
Letter from your
Judo Dojo Sensei verifying enrollment, participation, and volunteerism at Judo
events along with supporting documents such as tournament records.
2.
A copy of your
high school transcript, and
3.
The completed
application form, including a one page typed essay.
Longevity of enrollment,
participation, and volunteerism in Judo will weigh heavily in the final
decision. Your school records and a list
of school and community activities and awards, along with your response to the
essay question, will also be used in the final decision. No personal interviews will be scheduled.
Completed application form,
Judo verification document, and high school transcript must be postmarked on or
before
Mr. Brian Levitt, Head Sensei
DBT Judo Dojo
If you have any questions,
please contact Brian Levitt by calling 303 843-2587. Any photocopy of the application is
acceptable. Use additional pages as
necessary.
PART 1 – GENERAL INFORMATION
Applicants Name:
______________________________________________________________
LAST FIRST MIDDLE
Date of Birth:
_________________________________________________
Address: _____________________________________________________________________
City, State, Zip Code:
___________________________________________________________
Phone Number:
________________________________________________
E – Mail:
_____________________________________________________
High School:
_________________________________________________________________
Date of Graduation:
______________________________________________
Class Rank:
____________________________________________________
Total number of students in graduation class: _______________________________________
Grade Point Average:
_________________________________________
Name of university, college, or
vocational school you plan to attend:
Have you been accepted?
_____________________________
Parent(s)/Guardian(s) Name(s):
____________________________________________________
Address:
______________________________________________________________________
City, State, Zip Code:
____________________________________________________________
Occupation:
___________________________________________________________________
FATHER MOTHER
Reason for eligibility:
______ American
citizen of Japanese ancestry
Ancestral
Japanese surname: (first) ______________ (last)
_______________
(relationship)
_____________________________ (i.e. Joe Tanaka – father)
_____ Permanent
resident (INS Documentation) of Japanese ancestry
(proof of permanent resident alien status is required, a
photocopy is acceptable)
______ Parent(s)
an active member of a participating organization
Name
of organization:
______________________________________________
PART II – ACTIVITIES
List
of activities, awards, honors, etc., and names of clubs or organizations,
positions held, conferences, science fairs, etc. Please do not use abbreviations. Use this format: National Honor Society, 9, 10, 11, 12 grades,
vice president, 11 grade.
List
of non- school activities, hobbies special skills or other pertinent information: church or temple activities, community
organizations, part time or full time
work, experiences both during school and vacations, etc.
PART III – ESSAY
Describe in one typed page or less the following:
“How will the philosophy taught in Judo guide
you in the way you intend to live your life?”